Southland Trailer Corp. Warranty Registration Customer Name Address Town/City Province Postal Code Phone Number Email Address Dealer Name Town/City Province Trailer Model Number Serial Number Date of Purchase Intended purpose of your Southland Trailer: Industrial Agricultural Recreational * Other * If "Other" please explain:     How many trailers do you presently own?     Is this your first purchase of a Southland Trailer? Yes * No If you answered "No", how many do you own?     Do you plan to purchase any other trailers? Yes No If "Yes"   1 Month     6 Months     1 Year     * Other * If "Other" please explain:     How did you hear about Southland Trailers? Newspaper Ad Which Paper? Trade Show Which Trade Show? Local Dealer Which Dealer? Other Explain Which Statement best Describes your reason for purchasing a Southland trailer? Quality Price Availability Local Dealer Other Explain   Any other suggestions, comments or ideas?